The National Rural Health Mission
The National Rural Health Mission (NRHM) is a National effort at ensuring effective healthcare through a range of interventions at individual, household, community, and most critically at the health system levels. Despite considerable gains in health status over the past few decades in terms of increased life expectancy, reductions in mortality and morbidity serious challenges still remain. These challenges vary significantly from state to state and even within states.
There has been a progressive decline in budgetary allocation for public health in the country from 1.3% of GDP in 1990 to 0.9% in 1999. Rising inequities are another area of concern. Studies demonstrate that curative services favour the rich over the poor. Only one tenth of the population is covered by any form of health insurance thereby exposing the large majority to the risk of indebtedness in the event of a major illness in the family.